| NPI | 1962946293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 818412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005272) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2020-06-03 |